FEP Medicare Prescription Drug Program (MPDP)
A Medicare prescription drug benefit for eligible members who qualify for Medicare Part A and/or Medicare Part B utilizing Medicare as their Primary Health Care coverage.
Medicare Prescription Payment Plan
If you have high prescription drug costs, you may benefit from a new program that works with your Medicare Part D coverage, including the FEP Medicare Prescription Drug Program (MPDP). The Medicare Prescription Payment Plan is a voluntary payment option that allows you to spread your out-of-pocket prescription costs across the calendar year (January–December). There’s no cost to participate in the Medicare Prescription Payment Plan.
Here’s how it works
Don’t pay at the pharmacy
When you fill a prescription for a Part D drug covered under MPDP, you won’t pay your pharmacy, including if they’re shipped using the Mail Service Pharmacy.
Instead, we will send you a bill each month separate from your health plan premium.
Pay your bill on time
You’re still responsible for your drug costs and it’s important to pay your bill on time. You’ll get a reminder from us if you miss a payment.
It’s important to pay your bill by the date listed in the reminder. Non-payment will result in removal from the Medicare Prescription Payment Plan.
If you’re removed from the Medicare Prescription Payment Plan, you’ll still be enrolled in MPDP.
How your bill is calculated
Your monthly bill is based on the Part D prescription drugs filled that month, plus your previous month’s balance divided by the number of months left in the year.
The prescription drugs filled that month
+ (plus)
Your previous month’s balance
÷ (divided by)
The number of months left in the plan year
Is this payment plan a good option for you?
Keep in mind that this payment plan is optional and might help you manage your out-of-pocket costs, but it won’t save you money or lower your drug costs. Here are two examples that may help you decide:
Example 1: John
- Takes a high-cost prescription drug
- Starts filling this prescription in January
- Reaches $2,000 pharmacy out-of-pocket maximum by April
- Typically pays more than $2,000 a year for prescription drugs
If he signs up for the payment plan in January:
- He can spread his prescription drug costs over the year
Example 2: Laura
- Takes mostly lower-cost generic drugs
- Monthly prescription costs are under $160
- Usually does not reach the $2,000 pharmacy out-of-pocket maximum each year
If she signed up for the payment plan:
- Her monthly payments would increase as she continues to pick up prescriptions with few months left in the year